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INS'TRUCTIOFNS <br />PURPOSE OF FORM.'Ihis form is to be used by the Nebraska <br />Department of Revenue for the purpox of no[iTying the appropriate <br />r ~ coun[,r' authorities that a Notice of State Tax Lien is Using P,!ed <br />against the taxpayer indicated nn this form. <br />' Tho tax category number codas and tht Nebraska tax arogt:,,-~ they <br />reprtsent are ]fisted below. <br />O1 ......................... Sales fax <br />02 ......... . .. . ...........Retailers Use Tas <br />~ Consumers Use Tax <br />10 ......... .. . ............... Paritnutuel <br />21 income Tax Withholding <br />22 Individual Income Tax <br />.......... <br />~3 ~ ~ - - - - ~ ~ ~ ~ .Fiduciary income Tax <br />24 ..........Corporate Incomt and Franchise Tax <br />- 36 ~ ~ ~ ~ - ~ . . ...........Docaimentary Stamp Tax <br />- 44 . ...........:Necharucal Amusement Device Tax <br />45 ... . ........ ..:.. . : . ....Severance Tax <br />46 .. ... ... .:.. . ... . .... Estate Tax <br />' 4i ........ ..:..,...... .:.....Cigarette Tax <br />67 ...... . .. ..... .:'.:.:.....Litter Fee <br />58 ........... ..... - . - - ::..Lodging Tax <br />71 - :lnttratate Motor Carriers Fuel Tax <br />81 . -'.........Motor Vetocle Fuels Importing Dealer <br />85 ........ . ..... . ...... . ....Aircraft Fuels <br />91 ........... . .. ...Special Fuels <br />~ ~~ ~ <br />~ C <br />~ ~ ~ ~ <br />~ <br />~~ <br />v ~~ ~ <br />tD <br /> ~ <br /> `r' <br />U <br />~ ~ ~ "~ ~~t rJ <br />y v - \' <br />~ ~ <br />~ ~~~ <br />~ u <br />` ` W <br />[ R1 <br />N <br />~ <br />ca \. C.17 ~ 1 I w T <br />~ i Z <br />\ <br />~ <br />` <br />a <br />`\ ~\ <br />~~ \ / <br /> <br />!~ <br /> O <br />.> <br />• ~ 1 <br />